WGU D236 HESI FUNDAMENTALS PRACTICE EXAM
ACTUAL EXAM 2025 COMPLETE ACCURATE QUESTIONS
AND CORRECT DETAILED ANSWERS WITH NGN (100%
CORRECT VERIFIED SOLUTIONS) A NEW UPDATED
VERSION |GUARANTEED PASS A+
Three days following a surgery, a male client observes his colostomy for the
first time. He becomes quite upset and tells the nurse that it is much bigger than
he expected. What is the best response by the nurse?
A. Reassure the client that he will become accustomed to the stoma appearance
in time.
B. Instruct the client that the stoma will become much smaller when the initial
swelling diminishes.
C. Offer to contact a member of the local ostomy support group to help him
with his concerns.
D. Encourage the client to handle the stoma equipment to gain confidence
with the procedure.
B. Instruct the client that the stoma will become smaller when the initial
swelling diminishes (Postoperative swelling causes enlargement of the stoma.
The nurse can teach the client that the stoma will become smaller
when swelling is diminished (B). This will help reduce the client's anxiety and
promote acceptance of the colostomy. (A) does not provide helpful
teaching or support. (C) is a useful action, and may be taken after the nurse
provides pertinent teaching. The client is not yet demonstrating readiness to
learn colostomy care. (D)
,A female client with a nasogastric tube attached to low suction
states that she is nauseated. The nurse assesses that there has
been no drainage
through the nasogastric tube in the last two hours. What action
should the nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline.
B. Reposition the client on her side.
C. Advance the nasogastric tube an additional five centimeters.
D. Administer an intravenous antiemetic prescribed for PRN use.
B. Reposition the client on her side. (The immediate priority is to
determine if the tube is functioning correctly, which would then
relieve the client's nausea. The least invasive intervention (B)
should be attempted first,
followed by (A and C), unless either of these interventions is
contraindicated. If these measures are unsuccessful, the client may
require an antiemetic (D))
,A hospitalized male client is receiving nasogastric tube feedings
via a small-bore tube and a continuous pump infusion. He reports
that he had a bad
bout of severe coughing a few minutes ago, but feels fine now.
What action is best for the nurse to take?
A. Record the coughing incident. No further action is required at this
time.
B. Stop the feeding, explain to the family why it is being stopped,
and notify the HCP.
C. After clearing the tube with 30 ml of air, check the pH of fluid
withdrawn from the tube.
D. Inject 30 ml of air into the tube while auscultating the epigastrium
for gurgling.
C. After clearing the tube with 30 ml of air, check the pH of fluid
withdrawn from the tube.
A male client tells the nurse that he does not know where he is or
what year it is. What data should the nurse document that is most
accurate?
A. demonstrates loss of remote memory
B. exhibits expressive dysphasia
C. has a diminished attention span
D. is disoriented to place and time
D. is disoriented to place and time (The client is exhibiting
disorientation (D).
(A) refers to memory of the distant past. The client is able to express
himself without difficulty (B), and does not demonstrate diminished
attention span. (C).
, A client with chronic kidney disease (CKD) selects a scrambled egg
for his breakfast. What action should the nurse take?
A. Commend the client for selecting a high biologic value protein.
B. Remind the client that protein in the diet should be avoided.
C. Suggest that the client also select orange juice, to promote
absorption.
D. Encourage the client to attend classes on dietary management of
CKD.
A. Commend the client for selecting a high biologic value protein.
(Foods such as eggs and milk (A) are high biologic proteins which
are allowed because they are complete proteins and supply the
essential amino acids that are necessary for growth and cell
repair. Orange juice is rich in
potassium and should not be encouraged. The client has made a
good diet choice so (D) is not necessary.)
When assisting an 82 year old client to ambulate, it is important
for the nurse to realize that the center of gravity for an elderly
person is the--
Upper torso (The center of gravity for adults is the hips. However, as
the
person grows older, a stooped posture is common because of the
changes from osteoporosis and normal bone degeneration, and the
knees, hips, and elbows flex. This stooped posture results in the
upper torso becoming the center of gravity for older persons.)
ACTUAL EXAM 2025 COMPLETE ACCURATE QUESTIONS
AND CORRECT DETAILED ANSWERS WITH NGN (100%
CORRECT VERIFIED SOLUTIONS) A NEW UPDATED
VERSION |GUARANTEED PASS A+
Three days following a surgery, a male client observes his colostomy for the
first time. He becomes quite upset and tells the nurse that it is much bigger than
he expected. What is the best response by the nurse?
A. Reassure the client that he will become accustomed to the stoma appearance
in time.
B. Instruct the client that the stoma will become much smaller when the initial
swelling diminishes.
C. Offer to contact a member of the local ostomy support group to help him
with his concerns.
D. Encourage the client to handle the stoma equipment to gain confidence
with the procedure.
B. Instruct the client that the stoma will become smaller when the initial
swelling diminishes (Postoperative swelling causes enlargement of the stoma.
The nurse can teach the client that the stoma will become smaller
when swelling is diminished (B). This will help reduce the client's anxiety and
promote acceptance of the colostomy. (A) does not provide helpful
teaching or support. (C) is a useful action, and may be taken after the nurse
provides pertinent teaching. The client is not yet demonstrating readiness to
learn colostomy care. (D)
,A female client with a nasogastric tube attached to low suction
states that she is nauseated. The nurse assesses that there has
been no drainage
through the nasogastric tube in the last two hours. What action
should the nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline.
B. Reposition the client on her side.
C. Advance the nasogastric tube an additional five centimeters.
D. Administer an intravenous antiemetic prescribed for PRN use.
B. Reposition the client on her side. (The immediate priority is to
determine if the tube is functioning correctly, which would then
relieve the client's nausea. The least invasive intervention (B)
should be attempted first,
followed by (A and C), unless either of these interventions is
contraindicated. If these measures are unsuccessful, the client may
require an antiemetic (D))
,A hospitalized male client is receiving nasogastric tube feedings
via a small-bore tube and a continuous pump infusion. He reports
that he had a bad
bout of severe coughing a few minutes ago, but feels fine now.
What action is best for the nurse to take?
A. Record the coughing incident. No further action is required at this
time.
B. Stop the feeding, explain to the family why it is being stopped,
and notify the HCP.
C. After clearing the tube with 30 ml of air, check the pH of fluid
withdrawn from the tube.
D. Inject 30 ml of air into the tube while auscultating the epigastrium
for gurgling.
C. After clearing the tube with 30 ml of air, check the pH of fluid
withdrawn from the tube.
A male client tells the nurse that he does not know where he is or
what year it is. What data should the nurse document that is most
accurate?
A. demonstrates loss of remote memory
B. exhibits expressive dysphasia
C. has a diminished attention span
D. is disoriented to place and time
D. is disoriented to place and time (The client is exhibiting
disorientation (D).
(A) refers to memory of the distant past. The client is able to express
himself without difficulty (B), and does not demonstrate diminished
attention span. (C).
, A client with chronic kidney disease (CKD) selects a scrambled egg
for his breakfast. What action should the nurse take?
A. Commend the client for selecting a high biologic value protein.
B. Remind the client that protein in the diet should be avoided.
C. Suggest that the client also select orange juice, to promote
absorption.
D. Encourage the client to attend classes on dietary management of
CKD.
A. Commend the client for selecting a high biologic value protein.
(Foods such as eggs and milk (A) are high biologic proteins which
are allowed because they are complete proteins and supply the
essential amino acids that are necessary for growth and cell
repair. Orange juice is rich in
potassium and should not be encouraged. The client has made a
good diet choice so (D) is not necessary.)
When assisting an 82 year old client to ambulate, it is important
for the nurse to realize that the center of gravity for an elderly
person is the--
Upper torso (The center of gravity for adults is the hips. However, as
the
person grows older, a stooped posture is common because of the
changes from osteoporosis and normal bone degeneration, and the
knees, hips, and elbows flex. This stooped posture results in the
upper torso becoming the center of gravity for older persons.)
